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1174602429
SUSANA LIZASO
HIALEAH, FL
NPI
1174602429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN0014242)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. SUSANA LIZASO dmd
4999 WEST 8 AVE SUITE 28
HIALEAH, FL 33012
Phone number: 305-556-6055
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Mailing Address
Dr. SUSANA LIZASO dmd
4999 W 8TH AVE SUITE 28
HIALEAH, FL 33012-3409
Phone number: 305-556-6055
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